Mathew, Jennifer

Mathew, Jennifer is an individual health care provider with primary practice located at 135 N Addison Ave , Elmhurst IL 60126-2857. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mathew, Jennifer can be contacted via phone (630) 832-3100.

Contact Information

Primary practice address
135 N Addison Ave Elmhurst IL 60126-2857
Phone: (630) 832-3100
Fax: (630) 832-1604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-152488 Illinois

Profile Details

NPI number 1164802419
LBN Legal business name Mathew, Jennifer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2015
Last updated Aug 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164802419 NPPES
Illinois MEDICAID 036152488

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